Vol. 4 No. 1 (2019)

Open Access

Case Reports

Article ID: 17

Cryotherapy as a method of choice in the treatment of cylindromas on the elderly

by Piotr Brzezinski, Masaoud Sousak, Beatriz Di Martino Ortiz, Anca Chiriac

Journal of Surgical Dermatology, Vol.4, No.1, 2019; 2198 Views

The elderly (i.e., geriatric group) are often vulnerable to skin cancer. These patients often cannot cope with biopsies and surgical excisions. A good alternative is cryotherapy. Cylindroma is a benign adnexal tumor of the skin with eccrine and apocrine differentiation, and commonly occurs in the scalp. We present the case of an 82- year-old woman with a number of large tumors located on the head, which were effectively removed via cryotherapy with liquid nitrogen as a palliative treatment. No recurrence was detected during the two-year follow-up. Cryotherapy with liquid nitrogen is an effective and non-invasive method for the treatment of benign skin tumors in the elderly.

Open Access

Case Reports

Article ID: 111

Surgical management of a hand extravasation of anthracycline at late presentation

by Komla Sena Amouzou, Nabil Berny, Tiemoko Moulaye Haidara, Abdessamad Chlihi, Mohamed Ezzoubi

Journal of Surgical Dermatology, Vol.4, No.1, 2019; 2023 Views

Anthracycline extravasation remains a feared serious complication of chemotherapy. At late presentation, deep ulceration and extensive soft tissue damage are seen. Hand extravasation of anthracycline may lead to tendon and nerves destruction with functional and economical impairments. We report a case of Epirubicin extravasation seen at day 25 in a 46-year-old woman treated for breast cancer. A groin flap failed due to the persistence of anthracyclin in the wound. A split thickness skin graft was done after all the tendons were removed. The chemotherapy was interrupted for two months. Wide serial debridements are needed to achieve the removal of all molecules of anthracycline that are observed when granulating tissue is observed permanently in the wound.

 

Open Access

Case Reports

Article ID: 128

Printing tattoo effect after use of Dermabond®Prineo® Skin closure system

by Shabeer Ahmad Wani, Loai Abdullah Alsalmi, Waleed Alshehri

Journal of Surgical Dermatology, Vol.4, No.1, 2019; 2483 Views

Abdominoplasty is a very common procedure in the plastic surgery practice and may lead to a variety of unfavorable results including incision site complications. The surgical adhesives system, which entered into daily practice to replace the need for subcuticular closure for skin, saves time and may have better wound appearance. Dermabond® Prineo® Skin Closure System (Ethicon Inc., Somerville, NJ, USA) has two major components: 2–Octyl cyanoacrylate glue and a flexible, self-adhesive polyester mesh. It can be used with or without sutures, and has the added benefit of waterproofing, and microbial resistance. It also saves time. This case describes a male patient who experienced a “printing tattoo” effect following an elective procedure of abdominoplasty and the results after this closure system was used.

Open Access

Short Communications

Article ID: 43

Hyaluronidase in the treatment of papular dermal mucinosis: First case reported in North America

by Arathi Ramamurthi, Lindsay Bicknell, Morgan McCarty

Journal of Surgical Dermatology, Vol.4, No.1, 2019; 2346 Views

Papular mucinosis is an uncommon, idiopathic disorder characterized by dermal mucin deposition and increased collagen in the skin and internal organs. Its clinical presentation is characterized by dome-shaped, flesh colored papules that are closely spaced or linearly arranged. Papular mucinosis has been individually associated with several entities that include discoid lupus erythematosus, systemic lupus erythematosus and monoclonal gammopathy of undetermined significance. We encountered a 60-year-old woman with papular mucinosis in the setting of three concurrent disorders: discoid lupus erythematous, systemic lupus erythematosus and IgG paraproteinemia. Furthermore, we have reported the first case in North America of papular mucinosis being successfully treated with intralesional hyaluronidase.